Ques. A 7-year-old boy developed urticaria and shortness of breath 3 days after starting amoxicillin for treatment for otitis media. He had received amoxicillin - in the past without any reaction. He has a history of asthma and eczema. He was positive on skin testing for the penicillium mold. Which of the following may have increased this patient’s risk for developing a reaction?
a) age
b) prior use of amoxicillin
c) positive skin test to penicillium mold
d) history of asthma and eczema
Answer: (b)
Ques. The patient is scheduled for penicillin sensitive testing. Which of the following medications should be discontinued prior to testing?
a) Salbutamol inhaler
b) Corticosteroid inhaler
c) Loratadine
d) Hydrocortisone
e) all of the above
Answer: (c)
Ques. Patient with multiple sclerosis. She got UTI, 2 to 3 times per year. What do you suggest to her?
a) antibiotic prophylaxis
b) go to a nephrologist
c) go to a neurologist
d) check her bladder functioning with her physician
Answer: (d)
Ques. Patients with asthma are on inhaled corticosteroids and inhaled B2-agonist. What will be the benefit of giving him the oral corticosteroids?
I. decrease visits to emergency
II. will decrease dose of inhaled corticosteroids
III. will decrease dose of inhaled B2-agonists
a) I only
b) III only
c) I and II only
d) II and III only
e) I, II, III
Answer: (a)
Ques. A diabetic patient's differential diagnosis of foot infections revealed erythema without raised borders, swelling with fluctuance. Doctor has diagnosed me with Cellulitis. What is the most common organism?
A) S. aureus
B) S. pyogenes
C) S. viridians
D) S. pneumonia
E) Pseudomonas
Answer: (a)
Ques. What drug is not used against cellulites in diabetic foot infections?
A) Cloxacillin
B) Amoxicillin/clavulanate
C) Clindamycin
D) Cephalexin
E) Ciprofloxacin
Answer: (e)
Ques. What is the duration of Cloxacillin therapy against mild cellulites in diabetic foot infections?
A) 7 days
B) 14 days
C) 21 days
D) 30 days
E) 2 months
Answer: (a)